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EDITORIAL
Year : 1992  |  Volume : 40  |  Issue : 2  |  Page : 34

Parsplana surgery


CBM Ophthalmic Institute, Little Flower Hospital Angamally-683 572 Kerala, India

Correspondence Address:
T P Ittyerah
CBM Ophthalmic Institute, Little Flower Hospital Angamally-683 572 Kerala
India
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Source of Support: None, Conflict of Interest: None


PMID: 1452277

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How to cite this article:
Ittyerah T P. Parsplana surgery. Indian J Ophthalmol 1992;40:34

How to cite this URL:
Ittyerah T P. Parsplana surgery. Indian J Ophthalmol [serial online] 1992 [cited 2020 Feb 27];40:34. Available from: http://www.ijo.in/text.asp?1992/40/2/34/24409

Parsplana surgery is one of the recent develop­ments in the evolution of intra ocular surgery. Con­ventionally limbus was considered to be the most suitable site to enter the eye because of its relative avascularity. Parsplana route was found to be the most useful, when one wants to enter the posterior segment. Posterior segment surgeries being much less than the anterior segment surgeries, this route was less used. Once the safety and usefulness of this route was established, even anterior segment surgeries like cataract surgery were performed through the parsplana.

Vitreous surgery through parsplana is universally accepted even though cataract surgery through parsplana is debatable. The three point or even four point entry through the parsplana for sophisticated vitreo-retinal surgeries is well accepted now. How­ever, when to interfere in vitreous haemorrhage surgically, is still debatable. Before the vitrectomy era we had several occasions of vitreous haemor­rhage absorbing after several years without any surgery. But with relative safety and availability of equipments for vitreous surgery, surgical inter­ference in vitreous haemorrhage has become more common. It is also important to do a vitrectomy in vitreous haemorrhage to understand and treat the underlying pathology of the retina. Vitrectomy for simple vitreous haemorrhage is perhaps one of the most rewarding surgery among the posterior seg­ment surgeries because an improvement in visual acuity from HM to 616 is possible only in very few other posterior segment surgeries.

It is also noticed that often surgery for the vitreous haemorrhage due to Eales' disease gives better results than the surgery for vitreous haemorrhage due to diabetic retinopathy. The high cost of a vitreo-retinal unit combined with the long duration of surgery makes complicated vitrectomies very expensive. Let us hope with better Indian machines, the cost could be brought down. The excellent training facilities now available in our country shall provide enough trained manpower to treat the diseased vitreous and retina economically and effectively.




 

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